Provider Demographics
NPI:1942862420
Name:SLIGER, KASEY REED (DDS)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:REED
Last Name:SLIGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E BLOUNT AVE APT 346
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1627
Mailing Address - Country:US
Mailing Address - Phone:931-703-3548
Mailing Address - Fax:
Practice Address - Street 1:6001 WALDEN DR STE 1
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6355
Practice Address - Country:US
Practice Address - Phone:865-588-1294
Practice Address - Fax:865-588-6678
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11040122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist